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Individual
KARTHIKEYAN VENKATACHALAM
Active
Individual
KARTHIKEYAN VENKATACHALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
30294
MS
207RN0300X
Nephrology Physician
Primary
2026027542
MO
207RN0300X
Nephrology Physician
30294
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30294
STATE LICENSE
MS
Enumeration date
07/09/2012
Last updated
06/26/2026
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